证属上焦游火蕴热，肺金受其熏蒸，则清纯之气扰乱，生化之令不施，故为咳嗽红痰，往来
寒热，自汗，便数，口中浊唾，涎沫多出。寸脉数，而虚者是也。又有因汗多，有因吐甚，或消
渴而反通小水，
或虚闭而峻利大便，重亡津液，真阴日损，致肺燥而亦成痿矣。如咳嗽恶风、胸胁胀满者，防成
此患。
主方 贝母 知母 紫菀 阿胶 黄 茯苓 人参（各一钱） 桔梗 麦冬 冬花 薄荷
（各七分） 甘草（五分） 五味（十二粒） 姜一片，水煎，冲胶服。
往来寒热，柴胡、黄芩。痰多加橘红、制半夏。血虚加当归、白芍。咽干而渴，另用生姜（
五钱）、人参（二钱）、甘草（三钱）、大枣（三枚），分煎。涎多不渴，用桂枝（五钱）、甘
草（二钱）、大枣（六枚）、皂角（二条，炙，去皮弦），分二服，水煎。
保肺饮 肺痿咳嗽，胸中隐痛，辟辟燥咳。
人参 麦冬 薏苡仁 百部 黄 桑皮 五味子 当归 芍药（酒炒） 片黄芩 百合（
等分） 加姜煎服。
经曰∶癫疾厥狂，久逆之所生也。又曰∶阳气太上，甚则狂癫，阳尽在上而阴气从下，下虚
上实，故癫狂也。又曰∶重阴者癫，重阳者狂。又曰∶阴阳复争，则欲登高而歌，弃衣而走。又
曰∶狂病始发，少卧不饥，自高贤也，自辩智也，自尊贵也，语言善恶，不避亲疏，神明之乱也
。夫感病之由，得于大怒，大恐、大喜，及不得志；或有所失，或得于惊，惊则能动人之神。心
为神之舍，神去则舍空，津液流入，则变为痰迷心窍。痰郁成火，火性炎上，故登高硕言。或屈
无所伸，怒不能泄，肝木胆火，炎上于心，心火奔腾，神舍失守，久逆而成也。脉实大坚滑者生
，弦急而虚者死。治宜降火清痰，镇心安神。
兼服滚痰丸、豁痰丸（并见痰门），造命丹（小儿惊门）。
主方 黄连 黄芩 栀子（炒） 连翘 茯神 远志 枣仁（炒，研） 石菖蒲 当归
生地黄 川芎（等分） 甘草（减半） 加灯心、竹叶，水煎，调辰砂服。
虚加人参、白术。实热大便秘，加大黄或防风通圣散（方见风门）。痰多加橘红、南星、半
夏、天麻、白附、海石、栝蒌、竹沥，去远志、枣仁、当归、生地。
清心汤 治心受热邪，狂言叫骂，动履失常。
黄连 黄芩 薄荷 连翘 栀子 甘草 大黄 芒硝（各等分）
上水盏半，竹叶十个，煎八分，温服。
抱胆丸 男、妇一切癫狂、风痫，妇人产后惊心，室女经行惊气。
朱砂（二两，飞，研） 乳香（研末） 水银 黑铅（各一两） 先将铅铫内溶化，下水银
搅匀，研细，入朱、乳木，用米粥和丸绿豆大。每服一钱，井水送下，得睡愈。
牛黄泻心散 治心经邪热，狂言妄语，禁捉不定。
牛黄 冰片（各一钱） 朱砂（水飞，二钱） 大黄（生末，一两） 研匀，每服三钱，姜
汤和水调下。
蔚金丸 癫狂多年不愈，痰迷心窍，惊扰忿怒得之。
蔚金（蜀地香者，六两） 明矾（三两）
上为细末，薄糊丸桐子大。每五十丸，白汤下。
简便方 阳狂火炽作渴，用铅溶化下，水银（等分）搅匀研细，每服三分，水一碗，调匀
服。狂甚时，与水饮之可安。
此证，宜察致病之由，当如其愿。有喜甚致狂者，以恐怖抑之。悉尼消痰清火，多食大益。
忌鲜猪、羊肉，浓味、酒、动火发气物。
证候属于上焦游火蕴热，肺金受到熏蒸，导致清纯之气被扰乱，生化功能无法正常施展，因此出现咳嗽、痰中带血、寒热往来、自汗、小便频数、口中浊唾以及涎沫大量分泌等症状。寸脉数而虚，就是这种病证的表现。又有因为出汗过多，或者呕吐剧烈，或因消渴病反而通利小便，或因虚闭而峻猛攻下大便，导致津液严重耗损，真阴日渐亏损，致使肺燥从而也形成肺痿。如果咳嗽且怕风、胸胁胀满，就要防备发展成这种病患。
主方：贝母、知母、紫菀、阿胶、黄芪、茯苓、人参（各一钱），桔梗、麦冬、款冬花、薄荷（各七分），甘草（五分），五味子（十二粒），生姜一片，加水煎煮，冲服阿胶。若寒热往来，加柴胡、黄芩；痰多加橘红、制半夏；血虚加当归、白芍；咽干口渴，另用生姜（五钱）、人参（二钱）、甘草（三钱）、大枣（三枚），分开煎煮服用。若涎多不渴，用桂枝（五钱）、甘草（二钱）、大枣（六枚）、皂角（二条，炙烤后去皮和筋络），分两次服用，加水煎煮。
保肺饮：治疗肺痿咳嗽，胸中隐痛，干咳无痰且干燥。
配方：人参、麦冬、薏苡仁、百部、黄芪、桑白皮、五味子、当归、芍药（酒炒）、片黄芩、百合（等分），加生姜煎服。
经典记载说：癫疾厥狂，是由于气机长期逆乱所生成的。又说：阳气过盛于上，严重时会导致狂癫，阳气全部郁结在上而阴气从下上升，下部虚弱上部实邪壅盛，所以发生癫狂。又说：阴气过重则发癫，阳气过重则发狂。又说：阴阳相互争搏，就会出现想要登高唱歌、脱衣奔跑的症状。又说：狂病刚开始发作时，睡眠少且不觉得饥饿，自认为贤能，自认为辩才智慧，自认为尊贵，说话不分善恶，不顾及亲疏关系，这是神明混乱的表现。感病的缘由，来自于大怒、大恐、大喜，以及志意不得伸展；或者有所失得，或者受到惊吓，惊则能扰动人的神志。心是神的居所，神离去则居所空虚，津液流入，就变成痰迷蔽心窍。痰郁结化火，火性炎上，所以出现登高高声叫喊。或者委屈无处伸展，愤怒无法发泄，肝木与胆火炎上扰心，心火奔腾，神舍失守，长期气逆而成病。脉象实大坚滑的预后良好，弦急而虚的预后不良。治疗应当降火清痰，镇心安神。
兼服滚痰丸、豁痰丸（均见痰门章节），造命丹（见小儿惊门章节）。
主方：黄连、黄芩、栀子（炒）、连翘、茯神、远志、枣仁（炒，研碎）、石菖蒲、当归、生地黄、川芎（等分），甘草（减半），加灯心草、竹叶，加水煎煮，调辰砂服用。若属虚证加人参、白术；若实热大便秘结，加大黄或防风通圣散（方见风门章节）。若痰多加橘红、南星、半夏、天麻、白附子、海浮石、栝蒌、竹沥，去掉远志、枣仁、当归、生地黄。
清心汤：治疗心受热邪，狂言叫骂，行动举止失常。
配方：黄连、黄芩、薄荷、连翘、栀子、甘草、大黄、芒硝（各等分）。
用法：用水一盏半，竹叶十片，煎至八分，温服。
抱胆丸：治疗男、女一切癫狂、风痫，妇人产后受惊，少女经期受惊。
配方：朱砂（二两，水飞，研细），乳香（研末），水银，黑铅（各一两）。先将黑铅在铫子内熔化，加入水银搅匀，研细，加入朱砂、乳香粉末，用米粥调和制成绿豆大小的丸剂。每次服用一钱，井水送下，睡着即愈。
牛黄泻心散：治疗心经邪热，狂言妄语，控制不住自己。
配方：牛黄、冰片（各一钱），朱砂（水飞，二钱），大黄（生研末，一两）。研匀，每次服用三钱，姜汤和水调服。
蔚金丸：治疗癫狂多年不愈，痰迷心窍，因惊扰忿怒所致。
配方：蔚金（蜀地产的香料，六两），明矾（三两）。
用法：研为细末，用薄糊制成梧桐子大小的丸剂。每次五十丸，白开水送下。
简便方：阳狂火炽作渴，用铅熔化后加入水银（等分）搅匀研细，每次服用三分，一碗水调匀服用。狂症严重时，给水饮用可以安定。
此证候，应当考察致病的原因，顺应患者的意愿。有因大喜而导致狂症的，用恐惧来抑制它。食用悉尼（注：此处原文可能有误，通常指某种清热食物或药物，依原文直译）消痰清火，多吃大有益处。忌食鲜猪肉、羊肉，浓味食物、酒类以及动火发气的食物。
The syndrome belongs to wandering fire and accumulated heat in the Upper Jiao (Upper Burner). The Lung Metal is steamed by this heat, disturbing the pure Qi and impairing the functions of transformation and production. Consequently, symptoms such as cough, blood-tinged sputum, alternating chills and fever, spontaneous sweating, frequent urination, turbid saliva in the mouth, and excessive secretion of phlegm-drool occur. A rapid and deficient pulse at the Cun position indicates this condition. Additionally, excessive sweating, severe vomiting, or inappropriate diuresis for Xiao Ke (Wasting-Thirst), or harsh purgation for deficiency-induced constipation, can severely deplete body fluids and daily damage True Yin. This leads to Lung dryness and also results in Fei Wei (Lung Flaccidity). If coughing is accompanied by aversion to wind and distension/fullness in the chest and hypochondrium, one should guard against developing this ailment.
Main Formula: Bei Mu (Fritillariae Bulbus), Zhi Mu (Anemarrhenae Rhizoma), Zi Wan (Asteris Radix), E Jiao (Colla Corii Asini), Huang Qi (Astragali Radix), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma) (each 1 qian); Jie Geng (Platycodonis Radix), Mai Dong (Ophiopogonis Tuber), Dong Hua Hua (Farfarae Flos), Bo He (Menthae Haplocalycis Herba) (each 0.7 qian); Gan Cao (Licorice Root), Wu Wei Zi (Schisandrae Fructus) (12 grains); Ginger slice (1 piece). Decoct in water, dissolve E Jiao, and take. For alternating chills and fever, add Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix). For increased phlegm, add Ju Hong (Citri Reticulatae Pericarpium Rubrum) and Zhi Ban Xia (Pinelliae Rhizoma Preparatum). For Blood deficiency, add Dang Gui (Angelicae Sinensis Radix) and Bai Shao (Paeoniae Radix Alba). For dry throat and thirst, decoct separately: Sheng Jiang (Zingiberis Rhizoma Recens) (5 qian), Ren Shen (2 qian), Gan Cao (3 qian), Da Zao (Jujubae Fructus) (3 pieces). For excessive drool without thirst, use Gui Zhi (Cinnamomi Ramulus), Gan Cao (2 qian), Da Zao (6 pieces), Zao Jiao (Gleditsiae Spina) (2 strips, roasted, skin and fibers removed), decoct in water and divide into two doses.
Bao Fei Yin (Lung-Protecting Drink): Treats Fei Wei with cough, dull pain in the chest, and persistent dry cough.
Formula: Ren Shen, Mai Dong, Yi Yi Ren (Coicis Semen), Bai Bu (Stemonae Radix), Huang Qi, Sang Bai Pi (Mori Cortex), Wu Wei Zi, Dang Gui, Shao Yao (Paeoniae Radix, wine-fried), Pian Huang Qin (Scutellariae Radix), Bai He (Lilii Bulbus) (equal parts). Add ginger, decoct in water, and take.
The Classics state: Dian Ji (Mania-Epilepsy) and Jue Kuang (Convulsive Madness) arise from long-term reversal of Qi. It is also said: When Yang Qi is excessively high, it leads to Kuang Dian (Madness-Epilepsy). When Yang is entirely above and Yin rises from below, resulting in deficiency below and excess above, Dian Kuang occurs. It is further stated: Heavy Yin leads to Dian (Epilepsy/Depressive Psychosis), while Heavy Yang leads to Kuang (Mania). It is also said: When Yin and Yang contend repeatedly, the patient desires to climb high and sing, discards clothes, and runs about. Regarding the onset of Kuang disease: initial symptoms include little sleep, lack of hunger, self-perception of worthiness, wisdom, and nobility; speech lacks discrimination between good and bad, ignoring kinship and distance; this is a disorder of the Shen (Spirit). The cause of contracting the disease lies in extreme anger, fear, joy, or unfulfilled aspirations; or loss/gain, or fright, which disturbs the person's Shen. The Heart is the residence of the Spirit; when the Spirit departs, the residence becomes empty, allowing body fluids to enter and transform into Phlegm that confuses the Heart Orifices. Phlegm stagnates and transforms into Fire; since Fire nature flares upward, the patient climbs high and shouts loudly. Alternatively, grievance cannot be expressed, anger cannot be vented; Liver Wood and Gallbladder Fire flare up to disturb the Heart; Heart Fire surges, the Spirit residence loses control, and long-term Qi reversal causes the disease. A solid, large, firm, and slippery pulse indicates survival; a wiry, rapid, and deficient pulse indicates death. Treatment should focus on descending Fire, clearing Phlegm, calming the Heart, and tranquilizing the Spirit.
Adjunctive intake: Gun Tan Wan (Rolling Phlegm Pill), Huo Tan Wan (Expelling Phlegm Pill) (see Phlegm Section), Zao Ming Dan (Life-Creating Pill) (see Pediatric Fright Section).
Main Formula: Huang Lian (Coptidis Rhizoma), Huang Qin, Zhi Zi (Gardeniae Fructus, stir-baked), Lian Qiao (Forsythiae Fructus), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Zao Ren (Ziziphi Spinosomi Semen, stir-baked, crushed), Shi Chang Pu (Acori Tatarinowii Rhizoma), Dang Gui, Sheng Di Huang (Rehmanniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (equal parts); Gan Cao (half dose). Add Deng Xin Cao (Junci Medullia) and Zhu Ye (Bambusae Folium), decoct in water, mix with Chen Sha (Cinnabar), and take. For deficiency, add Ren Shen and Bai Zhu (Atractylodis Macrocephalae Rhizoma). For Excess Heat with severe constipation, add Da Huang (Rhei Radix et Rhizoma) or Fang Feng Tong Sheng San (Wind-Avoiding Universal Powder) (see Wind Section). For increased phlegm, add Ju Hong, Nan Xing (Arisaematis Cum Bile), Ban Xia, Tian Ma (Gastrodiae Rhizoma), Bai Fu Zi (Typhonii Rhizoma), Hai Shi (Spongia), Gua Lou (Trichosanthis Fructus), Zhu Li (Bambusae Sap), and remove Yuan Zhi, Zao Ren, Dang Gui, Sheng Di Huang.
Qing Xin Tang (Clear Heart Decoction): Treats Heart affected by Heat Evil, manifesting as manic shouting/cursing and abnormal behavior.
Formula: Huang Lian, Huang Qin, Bo He, Lian Qiao, Zhi Zi, Gan Cao, Da Huang, Mang Xiao (Natrii Sulfas) (equal parts).
Usage: Decoct 1.5 cups of water with 10 Zhu Ye leaves until reduced to 0.8 cup; take warm.
Bao Dan Wan (Gall-Soul Pill): Treats all cases of Dian Kuang and Feng Xian (Wind Epilepsy) in men and women; postpartum fright in women; menstrual fright in unmarried girls.
Formula: Zhu Sha (Cinnabar, 2 liang, water-flowered, ground), Ru Xiang (Frankincense, ground powder), Shui Yin (Mercurius), Hei Qian (Lead, each 1 liang). First melt Hei Qian in a Ding (crucible), add Shui Yin, stir evenly, grind finely. Add Zhu Sha and Ru Xiang powders, mix with rice porridge to form pills the size of mung beans. Take 1 qian per dose, delivered with well water; recovery follows sleep.
Niu Huang Xie Xin San (Ox-Gall Bladder Draining Heart Powder): Treats Heart Meridian Evil Heat, manifesting as manic delirious speech and inability to restrain oneself.
Formula: Niu Huang (Bovis Calculus), Bing Pian (Borneolum Syntheticum) (each 1 qian); Zhu Sha (water-flowered, 2 qian); Da Huang (raw ground powder, 1 liang). Grind uniformly. Take 3 qian per dose, mixed with water and Ginger Decoction.
Wei Jin Wan (Metal-Nurturing Pill): Treats chronic Dian Kuang unhealed for years, caused by Phlegm confusing the Heart Orifices due to fright, disturbance, and anger.
Formula: Wei Jin (Shu aromatic herb, 6 liang), Ming Fan (Alumen, 3 liang).
Usage: Grind to fine powder, bind with thin paste to form pills the size of tung tree seeds. Take 50 pills per dose with white boiled water.
Simple Prescription: For Yang Kuang with blazing Fire and thirst, melt Lead, mix with equal parts Shui Yin, stir and grind finely. Take 0.3 qian, mixed in one bowl of water. During severe mania, giving water to drink can calm the patient.
For this syndrome, investigate the cause of illness and accommodate the patient's wishes. Mania caused by extreme joy should be suppressed with fear. Consuming "Xini" (likely a specific local remedy or food item mentioned in original context) clears Phlegm and Fire, which is highly beneficial. Avoid fresh pork, mutton, strong flavors, alcohol, and foods that generate Fire or move Qi aggressively.